CORE Endorsers

CORE Endorsement Application Process

Instructions

Entities that do not create, transmit, or use administrative healthcare transactions* can demonstrate their support for CAQH CORE’s mission and the CAQH CORE Operating Rules by signing the CORE Pledge, and applying for and using the CORE Endorser Seal. Entities seeking the CORE Endorser Seal should complete the following steps:

  1. Obtain and review the Rules
  2. Obtain and review the Certification Policy
  3. Obtain, review and sign the Pledge
  4. Obtain and complete the Seal Application
  5. Submit the signed CORE Pledge with the completed CORE Seal Application to:

    CORE Endorser
    CAQH
    2020 K Street, NW 
    Suite 900
    Washington, DC 20006

 CORE Endorsement Terms and Conditions

  • There is no fee required to apply for and use the Eligibility & Benefits, Claim Status, Payment & Remittance, Prior Authorization & Referrals, Health Care Claims, Benefit Enrollment, or Premium Payment CORE Endorser Seal.
  • CORE will inform each CORE Endorser Seal applicant of its queue status at the time the application is received.
  • Upon receiving a CORE Endorser Seal application from an entity, CORE will have a maximum of 20 business days to complete its assessment of the application and respond to the applicant with a clear response of approval or need for clarification.
  • A final decision will be made by CORE in 30 business days, unless there are extenuating circumstances. If so, CORE will notify the applicant about the reason for the assessment extension.
  • CORE will grant an organization its CORE Endorser Seal following the positive completion of the application review process.
  • After receiving a CORE Endorser Seal, the entity may market itself as a CORE Endorser.
  • Entities receiving the CORE Endorser Seal will be promoted in CORE marketing materials and on the CAQH website.

* Only entities that create, transmit or use the administrative transactions addressed by the CAQH CORE Operating Rules are eligible for CORE Certification. Such entities should refer to the CORE Certification: A Step-By-Step Process for more information about becoming CORE-certified.

Questions: Contact CAQH at (202) 517-0362 or core@caqh.org

CORE Endorsers

The list of organizations below endorse (or are pledged to endorse) CAQH CORE and the CAQH CORE Operating Rules. 

View pending and current CORE certifications by visiting the CORE-certified Organizations page. Only entities that use, create, or transmit the applicable transactions are eligible for CORE Certification. 

ORGANIZATION   RULE SETS
Accenture accenture
  • Eligibility & Benefits 
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
American Academy of Family Physicians American Academy of Family Physicians
  • Eligibility & Benefits
  • Claim Status
American Association of Preferred Provider Organizations American Association of Preferred Provider Organizations
  • Eligibility & Benefits
American College of Physicians American College of Physicians
  • Eligibility & Benefits
American Health Information Management Association American Health Information Management Association
  • Eligibility & Benefits
American Medical Association American Medical Association
  • Claim Status
Calpion
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
CalRHIO CalRHIO
  • Eligibility & Benefits
CamCare
  • Eligibility & Benefits
Center for Health Transformation  
  • Eligibility & Benefits
  • Claim Status
Claredi Claredi
  • Eligibility & Benefits
Cognizant Cognizant
  • Eligibility & Benefits
  • Claim Status
Cognosante
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
Edifecs, Inc.  Edifecs
  • Eligibility & Benefits
eHealth Initiative eHealth Initiative
  • Eligibility & Benefits
EHNAC EHNAC
  • Eligibility & Benefits
emids Technologies emids Technologies
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
Enclarity, Inc.  Enclarity, Inc.
  • Eligibility & Benefits
FISGlobal FISGlobal
  • Eligibility & Benefits
  • Claim Status
Foresight Corporation Foresight Corporation
  • Eligibility & Benefits
  • Claim Status
Greater New York Hospital Association Greater New York Hospital Association
  • Eligibility & Benefits
Healthcare Financial Management Association Healthcare Financial Management Association
  • Eligibility & Benefits
Healthcare Information and Management Systems Society Healthcare Information and Management Systems Society
  • Eligibility & Benefits
HIPAA QA, Inc.  
  • Eligibility & Benefits
  • Claim Status
IRIS Health Services
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
IRIS Technologies IRIS Tech
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
Links2Success  
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
Methodical Methodical
  • Eligibility & Benefits
  • Claim Status
Medical Group Management Association Medical Group Management Association
  • Eligibility & Benefits
  • Claim Status
Medical Practice Software, Inc.
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
Michigan Public Health Institute Michigan Public Health Institute
  • Eligibility & Benefits
Microsoft Microsoft
  • Eligibility & Benefits
MultiPlan MultiPlan
  • Eligibility & Benefits
Musculoskeletal Imaging Consultants LLC  
  • Eligibility & Benefits
  • Claim Status
NACHA NACHA
  • Eligibility & Benefits
  • Claim Status
Pillsbury Winthrop Shaw Pittman, LLP  
  • Eligibility & Benefits
Qualedix Qualedix
  • Eligibility & Benefits
  • Claim Status
Smart Card Alliance  
  • Eligibility & Benefits
  • Claim Status
SCG Health  
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
SunCoast RHIO SunCoast RHIO
  • Eligibility & Benefits
  • Claim Status
  • Payment & Remittance
  • Prior Authorization & Referrals
  • Health Care Claims
  • Benefit Enrollment
  • Premium Payment
URAC URAC
  • Eligibility & Benefits
WEDI Wedi
  • Eligibility & Benefits
WorkCompEDI
  • Eligibility & Benefits
  • Claim Status